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Keeping Life Sweet

Nov/12/2023 / by Melanie Fourie

Preventing and managing the “silent killer” this World Diabetes Day

Glucometer indicating sugar level of 126 next to a plate of fresh salad with tomatoes, cheese, and greens
Photo via Shutterstock

In 2021, South Asia faced a staggering diabetes burden, with nearly 122 million people diagnosed with the condition, according to the National Center for Biotechnology Information. This constitutes a significant health challenge for the diaspora.

SEEMA focuses on strategies to prevent and manage this condition, dubbed the “silent killer” by medical professionals.

Understanding Diabetes And Its Types

Diabetes, often referred to as diabetes mellitus, comprises the following three primary types:

Type 1 Diabetes

This is an autoimmune condition where the immune system attacks and destroys insulin-producing beta cells in the pancreas. This results in an absolute deficiency of insulin, a hormone crucial for regulating blood sugar levels.

Type 2 Diabetes

The most common form, typically diagnosed in adulthood but increasingly seen in children and adolescents. In type 2 diabetes, the body becomes resistant to insulin or doesn’t use it effectively, leading to elevated blood sugar levels.

Gestational Diabetes

Occurring during pregnancy, this type of diabetes can affect both the mother and the baby. It usually resolves after childbirth but may increase the risk of developing type 2 diabetes later in life.

Symptoms of Diabetes

Recognizing the symptoms of diabetes is crucial for early diagnosis and prompt management. The most common signs of both type 1 and type 2 diabetes include:

Frequent Urination

Increased thirst and the need to urinate frequently are often among the earliest signs of diabetes. This occurs when excess glucose builds up in the bloodstream and the kidneys work overtime to filter and remove it.

Excessive Thirst

Experiencing unquenchable thirst is a direct result of frequent urination. As the body loses fluids through increased urination, it triggers a thirst response.

Unexplained Weight Loss

Diabetes can lead to weight loss despite normal or increased food intake. This occurs because the body cannot effectively use glucose for energy and starts breaking down fat and muscle for fuel.

Fatigue

Elevated blood sugar levels can lead to feelings of tiredness and overall fatigue. Cells are deprived of the necessary energy due to insulin resistance or deficiency.

Blurry Vision

High blood sugar levels can affect the shape of the lens in the eye, causing temporary vision disturbances and blurriness.

Slow Wound Healing

Diabetes can impede the body’s ability to heal wounds and infections. High blood sugar can affect the immune system’s function and blood circulation.

Recurrent Infections

Individuals with diabetes are more susceptible to urinary tract, yeast, or skin infections.

Tingling or Numbness

Neuropathy, or nerve damage, is a common complication of diabetes. It can cause tingling, numbness, or pain in the extremities.

Insulin Resistance: The Core of Type 2 Diabetes

In type 2 diabetes, insulin resistance is a key factor. Insulin is a hormone produced by the pancreas that helps regulate blood sugar by allowing glucose to enter the cells, where it’s used for energy. In individuals with insulin resistance, the body’s cells don’t respond effectively to insulin. To compensate, the pancreas produces more insulin, leading to elevated insulin levels in the blood.

Over time, the pancreas may become unable to produce enough insulin to keep blood sugar levels in check. This results in persistently high blood sugar, a hallmark of type 2 diabetes. Factors contributing to insulin resistance include genetics, obesity, a sedentary lifestyle, and poor dietary habits.

Preventing Diabetes

Prevention plays a vital role in managing diabetes. Here are some effective strategies.

Healthy Eating

Adopt a balanced diet rich in whole grains, lean proteins, fruits, and vegetables. Limit the consumption of sugary and processed foods, as they can contribute to insulin resistance and weight gain.

Regular Physical Activity

Engage in regular exercise to improve insulin sensitivity and maintain a healthy weight. Try a minimum of 150 minutes of aerobic exercise per week.

Maintain a Healthy Weight

Achieving and maintaining a healthy weight can reduce the risk of developing type 2 diabetes. Even modest weight loss can have a positive impact.

Monitor Blood Sugar

If you are at risk for diabetes, consider regular blood sugar monitoring and screenings. Early detection can lead to timely intervention.

Manage Stress

Chronic stress can contribute to insulin resistance. Incorporate stress-reduction techniques such as deep breathing into your daily routine.

Supplements with Inositol

Inositol, particularly myo-inositol, has been studied for its potential to improve insulin sensitivity and reduce insulin resistance.

Add Cinnamon to Your Food

Cinnamon mimics insulin, facilitating sugar transport into cells, potentially lowering blood sugar and enhancing insulin sensitivity.

Managing Diabetes

For those already living with diabetes, effective management is essential for maintaining health and preventing complications. Manage diabetes by doing the following:

Medication and Insulin

Depending on the type and severity of diabetes, medication or insulin therapy may be prescribed. Strict adherence to the prescribed treatment plan is vital.

Blood Sugar Monitoring

Regular monitoring of blood sugar levels helps in tracking your progress and making necessary adjustments to treatment and lifestyle.

Healthy Eating

Consistently follow a balanced meal plan and monitor carbohydrate intake. A registered dietitian can provide tailored guidance.

Regular Exercise

Incorporate physical activity into your daily routine to help control blood sugar levels. Consult your healthcare provider to determine the most suitable exercise regimen.

Regular Check-Ups

Attend regular check-ups with your healthcare team to monitor your condition and address any emerging issues promptly.